Original Articles
Functional outcome of management of congenital idiopathic clubfoot by ponseti method in children under two years of age | |
Dr. Anurag Patil, Dr. Gagan D J, Dr. ChannabasavannaHegade, Dr. Akshaya, Dr. Ullas Mahesh | |
Introduction: Clubfoot occurs in approximately 1 in 1000 live births and is one of the most common congenital birth defects. There have been many reports of successful treatment of Congenital idiopathic clubfoot with the Ponseti method in the western world; similar studies in developing countries like India are few. Objective: • To study functional outcome of management of Congenital Idiopathic Clubfoot by Ponseti method in children upto 2 years of age. • To continually educate about clubfoot and encourage the parents at initiation and during the course of treatment. Materials and Methods:The study was conducted at Government medical college (GMCH), Chandigarh. The source of data is all confirmed cases of clubfoot diagnosed at GMCH, Chandigarh. The study was done from November 2021 to November 2022, and cases were selected on OPD basis. The cases were confirmed to be Congenital idiopathic clubfoot, by ruling out any other congenital anomalies and other non-idiopathic causes. Serial manipulation and casting were done using the Ponseti method of Clubfoot correction. Pirani scoring was used to asses both the severity at presentation and functional outcome at the end of treatment. Analysis of results was done using relevant statistical methods. Results:In our series, we have treated 50 babies with Congenital Idiopathic Clubfoot by Ponseti method by serial casting. Out of 50 patients 36(72%) were Males and 14(28%) were females. Out of 50 cases 28(56%) were unilateral while 22(44%) were bilateral cases. Among the unilateral cases Right side was more often affected.19 cases were right sided while 9 cases had left side affection. We used the Pirani severity score at the end of final cast as a functional tool for the assessment of the functional outcome. The results were graded as excellent, good and poor. Excellent is when Pirani score after last cast is 0 to 0.5,Good is when Pirani Score is 0.5 to 1and Poor if Pirani score is 1 or more. Out of the 50 patients treated, 72 foots underwent treatment in which excellent results were achieved in 37 cases (51.38%) while good results in 34 patients (47.22%) and poor results in 1 case (1.38%). Conclusion: We conclude that the Ponseti method is a very safe, effective and economical treatment for the correction of club foot that radically decreases the need for extensive corrective surgeries especially in developing countries. |
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